Provider First Line Business Practice Location Address:
7131 N. RIDGE BLVD.
Provider Second Line Business Practice Location Address:
RIDGE DENTAL CENTER, STOREFRONT
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-764-7575
Provider Business Practice Location Address Fax Number:
773-764-2951
Provider Enumeration Date:
02/25/2015